CAROLINE PETERSON PA
NPI 1942284195
Physician Assistant - Surgical in Onalaska, WI

Q: What is Caroline Peterson's NPI number?

The NPI number for Caroline Peterson is 1942284195. It was assigned to this individual provider in the NPPES registry on December 1, 2005.

Q: What is Caroline Peterson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Caroline Peterson was last updated on May 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 01, 2005PECOS EnrolledAccepts Medicare Assignment

3111 GUNDERSEN DR, ONALASKA, WI 54650(608) 775-8630 Get Directions Write a Review

NPPES record last updated: May 4, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Caroline Peterson Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAROLINE PETERSON PA (NPI 1942284195) is an individual surgical provider in Onalaska, Wisconsin, licensed in Wisconsin (1830) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, is affiliated with Gundersen Lutheran Medical Center, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1942284195

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameCAROLINE PETERSONCredential: PA

Location Address3111 GUNDERSEN DROnalaska, WI 54650-8447

Mailing Address1836 South AveLa Crosse, WI 54601-5429 · (608) 782-7300

Phone(608) 775-8630

Sole ProprietorNo

Medical School CMSOtherGraduated 1998

Enumeration DateDecember 1, 2005

Last NPPES UpdateMay 4, 2015

✔ NPI 1942284195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in WI · 1830

Also ListedPhysician AssistantTaxonomy 363A00000X · License 085-001150 (IL)

3111 GUNDERSEN DR, Onalaska, WI 54650

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Caroline Peterson Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7214978691

PECOS Enrollment IDI20050516000823

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

281 services150 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

52 services49 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

30 services30 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

24 services24 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Gundersen Lutheran Medical Center

Acute Care Hospitals · La Crosse, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520087

Location1910 South AveLa Crosse, WI 54601 · La Crosse County

Emergency services Birthing friendly

Gundersen Moundview Hospital And Clinics

Critical Access Hospitals · Friendship, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521309

Location402 W Lake StFriendship, WI 53934 · Adams County

Emergency services

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RENEE LYNN MONTI ATC

Specialist